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Quantitative image findings, including elastography or Fibroscan, were not performed either, as the facility did not have the equipment

Cortical bone demonstrated elevated porosity and reduced tibial cortical thickness, resulting in declines of 5.7%, 5.5%, and 5.2% in tibial compressive strength, stiffness, and apparent modulus, respectively

doi: 10.1038/s41586-023-06873-0

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